Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $645.08 / $4,933.00	Facility		$464.00	$645.08	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.10 / $482.90 / $645.08	Professional		$394.10	$482.90	$645.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $508.95 / $508.95 / $508.95	Professional		$508.95	$508.95	$508.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.67 / $298.05 / $419.33	Facility		$252.67	$298.05	$419.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $665.63 / $1,208.65	Professional		$128.63	$665.63	$1,208.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.02 / $523.89 / $966.13	Professional		$362.02	$523.89	$966.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $236.60 / $2,056.00 / $4,933.00	Facility		$236.60	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $443.79 / $548.44 / $751.03	Professional		$443.79	$548.44	$751.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $349.85 / $576.72	Professional		$68.50	$349.85	$576.72
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.62 / $548.88 / $768.39	Professional		$471.62	$548.88	$768.39